Aspen Developmental Services, Inc.

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Legal business name

ASPEN DEVELOPMENTAL SERVICES, INC.

Practice address

1820 E 17TH St Ste 330
Idaho Falls, ID 83404-6400

Phone

(208) 534-8303

NPI assigned

May 13, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Matthew Francie Smith

Title

Owner

Phone

(208) 534-8303

Specialties & licenses 1

Addresses

Other names 1

• Aspen Developmental Services Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1124877246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 E 17TH ST # 261",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066758",
            "telephone_number": "208-534-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E 17TH ST STE 330",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046400",
            "telephone_number": "208-534-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN DEVELOPMENTAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "FRANCIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-534-8303",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Developmental Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Day Training/Habilitation Specialist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Day Training/Habilitation Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.